Cyberbullying Evidence and Impact Log

Student is being cyberbullied but has not documented the scope or impact clearly enough for adults to take action, or the evidence disappears into context.

Cyberbullying is easy to dismiss without clear evidence. “Just ignore it.” “It is just kids.” But the impact is real and documented evidence changes how adults respond. This log helps the student keep a record that is both evidence and a record of their own experience.

Clear documentation often triggers school and parental intervention.


Cyberbullying Evidence and Impact Log

Each incident: create an entry with the following.

Date and time:

What happened: (Describe what was said, done, or posted. Quote it exactly if possible.)

Where it happened: (Social media, text, in person, school, online game.)

Who was involved: (The person doing the bullying. Witnesses. Anyone who responded.)

Evidence: (Screenshot, saved message, recording, witness statement. Describe where you stored it.)

Impact on me: (How it made me feel. What I did as a result. Did it affect my sleep, eating, school, mood?)

Others present: (Who saw this? Who could confirm it happened?)

My response: (What did you say or do? Did you respond, ignore it, tell someone?)

Follow-up: (Did anything happen after, like escalation? Did anyone help?)

Every entry is data. When you bring this to parents or school, the log is evidence that this is a pattern, not a one-time incident.

Your emotional response is also evidence. “It ruined my day” is not measurable. “I could not sleep and I missed school the next day” is measurable impact.

Keep logging. Do not delete entries. After two weeks, review with a trusted adult.

A clear pattern plus impact plus documentation changes how this is handled.

Generated with Rapport7 — rapport7.com

Print it. Hand it over. See what changes.

Every directive in the library is printable — branded with your clinic name and logo, ready to go home with the client at the end of the session.

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